NBCE Part IV Test Sites & Test Day Guide: Where You’ll Take the Practical Exam (And What to Know)

Preparing for NBCE Part IV isn’t just about mastering technique and clinical reasoning — it’s also about understanding where and how the exam is delivered. Part IV is unique: it’s a hands-on practical exam with strict logistics, test site requirements, and evolving test locations. Knowing the details ahead of time can reduce stress and help you focus your preparation where it matters most.

This post breaks down the current Part IV test sites, how test day registration works, what to expect at each location, and important planning considerations.

Two Main Types of Part IV Test Locations

Historically, NBCE Part IV has been administered at campus-based test sites — typically at accredited chiropractic colleges — where students take practical stations testing technique, case management, and clinical skills.  

However, the NBCE is actively transitioning Part IV to a centralized NBCE Assessment Center in Greeley, Colorado, beginning in 2026.  

Campus-Based Part IV Sites

• Listed chiropractic colleges host Part IV practical exams at designated times (usually in May and November).  
• After you apply and are approved, the NBCE assigns you a site based on your preferences and availability.  
• You’ll register for a specific location, date, and time through your MyNBCE account.  
• If you don’t register at the correct location/date/time, you will not be allowed to take the exam.  

These campus locations are especially important for students testing before the centralized Assessment Center opens.

NBCE Assessment Center — Greeley, Colorado

Starting in 2026, the NBCE Assessment Center in Greeley, CO will become the primary Part IV exam site. As of spring 2026, the first live exam there is scheduled for April 10, 2026, and more sessions will open as the facility begins year-round test administration.  

The move to a centralized site aims to:

• Increase scheduling options year-round
• Allow more testing flexibility
• Standardize exam conditions nationwide
• Support future innovation in exam delivery and station structure

Travel and logistics planning are important if you choose (or need) the Greeley test site.

How Part IV Test Site Assignments Work

1. Submit Your Application

Your Part IV application must be complete (approved coursework, fees paid, registrar approval, badge ID photo, etc.) before test site assignments begin.  

2. Select Site Preferences

For campus-based exams, the NBCE allows you to choose up to four site locations in order of preference.  

3. Assignment and Notification

After the deadline, the NBCE assigns your testing site based on:

• Completed application and payment date
• Your stated preferences
• Available space at each site

Once assigned, you must register at the exact location, date, and time indicated in MyNBCE — missing this will result in denied access to test day.  

What to Expect on Part IV Test Day

Whether at a campus site or the Assessment Center, Part IV exam day logistics include:

Identification & Registration

• Bring a valid government-issued photo ID — no digital IDs accepted.  
• Show up at your assigned location, date, and time — early arrival is essential.  

Dress & Conduct

• Professional attire is recommended — no sweatpants, hoodies, lab coats, or chiropractic school logos.  
• You cannot bring electronics into the test area; secure storage is provided for belongings.  

Timing & Duration

• Be prepared to spend several hours at the testing site.  
• If you are taking the optional DIM (Diagnostic Imaging) component, this may add time to your day.  

Rules & Security

• You’ll acknowledge the NBCE Examinee Agreement and comply with testing protocols.  
• Refusal to follow security screening or test administrator instructions can result in denied testing and exam invalidation.  

Planning Tips for Part IV Test Sites

Travel Logistics

If your assigned site is out of town, book travel early — housing and transportation fill quickly around exam dates.

Know the Deadlines

Be sure your exam application is submitted, approved, and paid before deadlines to ensure site assignment and registration access.  

Bring Essentials

Pack your valid ID, personal essentials, and any permitted items (e.g., clear bag for feminine hygiene products).  

Frequently Asked Questions About Part IV Test Sites

Can I take Part IV at any campus?

You can only test at campuses designated by the NBCE as approved Part IV test sites. You submit preferences, and placement depends on availability.  

Why is NBCE moving to a centralized test center?

Moving to the Greeley, Colorado Assessment Center increases year-round scheduling flexibility, standardization, and opportunities for students.  

Do I need a separate site registration after assignment?

Yes. After the NBCE assigns your site and date in MyNBCE, you must register for that exact appointment — failure to register means you cannot test.  

Will all Part IV exams be at the NBCE center soon?

Yes — after Spring 2026, most Part IV exams will transition fully to the Greeley Assessment Center, though a limited overlap period may allow campus testing.  

Can I choose campus testing over the Greeley center?

During the transition period (e.g., before Spring 2026), you may select the campus option if offered and deadlines are met.  

What happens if I miss my assigned test site date/time?

You will not be allowed to test, and your exam fee can be forfeited — you would need to reapply for a future administration.  

Key Takeaway for Students

Knowing where and how Part IV is administered gives you a strategic advantage. Whether you’re testing on a local campus or making travel plans to the NBCE Assessment Center in Colorado, early planning, deadline awareness, and clear expectations will help you show up calm, prepared, and ready to succeed.

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